the magazine of carolinas medical center-pineville ... · vegetable oil spray (if using metal...

Sudden cardiac death in athletes Is your teen at risk?

Playing safely in Fort Mill

A new program for students

A healthy recipe

for you!Page 2

The magazine of Carolinas Medical Center-Pineville

www.cmc-pineville.org • Summer 2011

Going above and beyond to save a child's life

CarolinasHealth

Summer 2011 | carolinas Health | www.carolinasmedicalcenter.org 2

#cut here

SIrLOIN AND VeGetABLe SKeWerS (SerVeS 4)

cup strong tea2 tablespoons brown sugar2 tablespoons fresh lemon juice¼ teaspoon salt¼ teaspoon red hot-pepper sauce16 small cremini (brown) mushrooms, stems

discarded1 pound sirloin steak, all visible fat discarded,

cut into 1-inch cubes1 large red bell pepper, cut into 1-inch squares16 medium Brussels sprouts, trimmed2 medium ears of fresh corn, husks and silk

discarded, cut in half crosswisevegetable oil spray (if using metal skewers)

Per serving: 234 calories, 6 g total fat (2 g saturated, 0.5 g poly- unsaturated, 2.5 g monounsaturated), 64 mg cholesterol, 224 mg sodium, 20 g carbohydrates, 5 g fiber, 6 g sugar, 28 g protein

t he distinctive taste and smell of grilled food is delightful. Grilling is a great way to enjoy food that’s low in fat and calories. Choose leaner meats

and fish steaks like tuna and salmon. You can grill vegetables, too. Mix things up by marinating foods in salsa, fat-free salad dressing, wine or fruit juices.

DID YOu KNOW?This year marks the 25th anniversary of the region’s first heart transplant—performed by Sanger Heart & Vascular Institute’s team of world-class physicians.

3 If using bamboo skewers, soak 6 skewers in cold water for 10 minutes. For metal skewers, lightly spray with vegetable oil spray. Tip: Food will cook a little faster with metal skewers. 4 Preheat the grill on medium-high heat. 5 Alternating ingredients, thread the mushrooms,

steak and bell pepper on 4 skewers. Thread the Brussels sprouts on 2 skewers, leaving ⅛ inch between the sprouts. 6 Put the corn and the skewers on the grill.

Cook the corn and the sprouts for about 3 minutes on each side, or until a few kernels of corn on each side turn golden and the sprouts give when squeezed and have some grill marks. 7 Cook the steak skewers for about 2 minutes on

each side, for medium-rare. For medium, add an extra minute on each side, and an extra 1½ minutes on each side for medium-well.

It’s summer—time to get all fired up!Grilling is a heart-healthy way to savor the season

1 In a large bowl, stir together the tea, brown sugar, lemon juice, salt and pepper sauce. Stir in remaining ingredients except the vegetable oil spray. 2 Cover and marinate for 1 to 3 hours in the

refrigerator.

YOu Are WhAt YOu eAt!

For more heart- healthy recipes, visit www.sangerheart.

org/recipes.

Uncompromising Excellence. Commitment to Care. 3

Your voices Letters from those we serve

Editor’s note: We receive hundreds of letters each year from patients and family members who write to share their appreciation of the care they received. With each author’s permission, we will share these letters with you. Please visit www.carolinasmedicalcenter.org/letters for more patient testimonials.

I was admitted to Carolinas Medical Center-Pineville on Sept. 19, 2010, and released Sept. 22, 2010. I’m in the military and, as you know, we

pride ourselves as being true professionals. I’d like to pass on my thanks to your great staff, as they also are true professionals.

During my four-day stay at CMC-Pineville, I was cared for by several nurses who were wonderful from the moment I was admitted to the day I went home. The doctors were also amazing. Everyone made me feel important and comfortable when treating my medical issues.

Again, my thanks to your great staff.

Sincerely,Master Sgt. Steven Kennedy

United States Air Force

York, SC

❝ During my stay at CMC-Pineville, I was cared for by several nurses who were wonderful from the moment I was admitted to the day I went home. ❞

MyHealth OnlineMake your appointment online and more! Sign up

We know how busy today’s families are, and that’s why we’ve put more control at your fingertips with MyHealth Online.

Sign up for access to schedule appoint-ments in real time, request prescription refills, update personal and insurance information and pay your bill.

It’s another example of how we're bringing together people, technology and compassionate care for a lifetime.

To learn more and sign up, visit myhealth.carolinas.org.

We make it easy to manage your healthcare


S ix-year-old Jakob Clark will never forget Christmas 2010. Like many kids, Jakob loves the holidays and he loves dogs. So when both of these things came

together at the end of last year, it had the makings of a memorable moment. That’s when things took a tragic turn for the worse. Instead of family laughter and good tidings, Jakob was attacked by a relative’s pit bull terrier.

Jakob was treated at Levine Children’s Hospital (LCH) by medical teams including 21 physicians in specialties ranging from trauma, orthopaedics and plastic surgery to physical rehabilitation. His injuries required 12 surgeries and many hours of rehabilitation.

Dog attackTeamwork saves a child’s life

cOOrDINAtING crItIcAL cAre“I first met Jakob in the trauma resuscitation

bay, and I could tell it would take the coordination of several services to deal with his devastating injuries,” says Britt Christmas, MD, a trauma surgeon at Carolinas Medical Center (CMC). “We proceeded to the operating room where we were met by two different orthopaedic surgery teams as well as a vascular team and anesthesia team who all coordinated terrific care to make sure that he was stable.”

Jakob’s parents remained at his bedside during his hospital stay, keeping his spirits up between treat-ments and procedures. “He’s done remarkably well,” says Jean-Francois LeFaivre, MD, a plastic surgeon on Jakob’s care team. “He had very good support from his family and friends. He was always cheerful and playful and bounced back very quickly—faster than an adult would have.”

cAre AND SuPPOrt: Jakob Clark gets a visit by members of his care team, (l–r) pediatric orthopedic surgeon Christian Clark, mD, plastic surgeon Jean Francois LeFaivre, mD, and trauma surgeon Britt Christmas, mD.


GOING ABOVe AND BeYONDNow that Jakob is continuing his recovery at home,

his family has been able to reflect on their time at CMC and LCH. “Our family will always be grateful for the dedication, skill and caring demonstrated by everyone we came in contact with during our stay,” says Jakob’s father, Thomas Clark. “From the Emergency Department through the various departments, everyone helped make this as much like a home for Jakob as possible.” Jakob’s mother, Donna, echoed these feelings, saying “We knew God had put us here, and the staff was going to do every-thing they could for Jakob. The nurses and doctors made sure we always knew what was going on.”

Jakob’s family was especially touched by a story they heard about Jakob’s surgical team. “We found out after-ward that the team who operated on Jakob went to the chapel and prayed after the surgery and their shift,” Thomas says. “That’s the kind of people who are here taking care of our children. We’re so very thankful to have had this facility here ... and for the people.”

BAcK hOMeJakob returned home on Jan. 28, after spending

37 days in the hospital. He continues to improve, and his family is doing all they can to help him enjoy life as a typical little boy. “He has the best attitude of any person I’ve ever met and understands what’s taken place medi-cally and what procedures he’ll require in the future, thanks to the doctors who took the time to explain it all to him,” says Thomas. “Jakob continues to be a 6-year-old boy, enjoying LEGOS®, reading and playing with friends. We’ll be forever in debt to his physicians and LCH for letting us bring our boy back home.”

❝ We're so very thankful to have had this facility here ... and for the people. ❞

—Thomas clark

A LIttLe BOY’S JOurNeYVisit www.levinechildrenshospital.org/jakob to watch a video about Jakob clark and his experience.

Uncompromising Excellence. Commitment to Care. 5Uncompromising Excellence. Commitment to Care.

DOG ETIQUETTE 101Even the friendliest pet can bite if provoked. All children should learn how to behave around dogs whether their parents own a pet or not. You can take steps to prevent your children from being injured by teaching them these dog-safe rules: Don’t approach a strange dog or pet a dog

without asking permission from the dog’s owner. Never disturb a dog that’s sleeping, eating or

caring for puppies. Don’t tease, hurt or play rough with a dog. Always allow a dog to sniff you before trying to

pet it. Don’t play with any dog unless an adult is nearby.

Remain calm when approached by a dog. Don’t scream or run away. If you feel threatened, stand still and avoid making eye contact with the dog. Slowly back away or stay still until the dog goes away.

If you fall or a dog knocks you down, curl into aball and place your hands over your face and neck.

Note: Never leave a baby or a small child alone with an animal. If a dog bites your child, consult your pediatrician.

Spring 2011 | Carolinas Health | www.carolinasmedicalcenter.org 6

Behind the headlines: Sudden death in athletes

HEArt cArE WHErE you nEEd Itthe physicians at sanger heart & vascular Institute offer specialized heart care for pediatric patients who have serious conditions, such as congenital heart disease, cardiac murmurs or life-threatening arrhythmias. to learn more about our services, call 704-373-0212 or visit www.sangerheart.org.

I t’s an undeniable tragedy when a young athlete col-lapses and dies on the field, and it makes for alarming news reports. Often, the culprit is a condition known

as hypertrophic cardiomyopathy (HCM). But should you be concerned that it might strike your active son or daughter? The answers to some frequently asked questions about HCM follow.

Q. WHAt IS HypErtropHIc cArdIomyopAtHy? A: HCM is characterized by an enlarged muscle inside the heart that sometimes obstructs blood flow. It may be genetic, but often the cause is unknown. It typically occurs during a period of rapid growth, which is why it tends to appear in adolescence.

Q. WHAt ArE ItS SymptomS? A: People with HCM may suffer from shortness of breath while exercising, dizziness, blackouts and chest pain. Some experience cardiac arrhythmias (abnormal heart rhythms) that can result in sudden death. However, some people experience no symptoms at all.

Q. doES Hcm AlWAyS rESult In SuddEn dEAtH? A: No. Each year, only about 1 to 5 percent of those with HCM die suddenly, and certain risk factors are

usually present. Risk factors include family members who have died suddenly from HCM, several instances of fainting in young people in the family, a history of abnormal blood pressure while exercising and a history of arrhythmias along with other existing heart problems.

Q. HoW IS Hcm dIAgnoSEd? A: Most cases of HCM can be detected with an electrocardiogram, which records the electrical signals emitted from the heart.

Q. HoW IS Hcm trEAtEd? A: Although no cure exists for HCM, certain drugs may help reduce the thickness of the enlarged heart muscle. Beta-blockers and calcium channel blockers are commonly prescribed, as are anti-arrhythmia drugs.

For severe cases of HCM or those that don’t respond to drug treatment, surgery or automatic implantable defibrillators can also help patients at greatest risk of sudden death. These devices contain pacemakers that emit electrical impulses telling the heart when to beat. If an arrhythmia occurs, the device “shocks” the heart into a normal rhythm.

Summer 2011 | Carolinas Health | www.carolinasmedicalcenter.org 6


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Protecting our championsInnovative athletic training program comes to Fort Mill schools

A thletes at Nation Ford High School and Fort Mill High School can now breathe a little easier knowing that trainers from Carolinas Medical

Center-Pineville are on the sidelines. While young athletes are viewed as the picture of physical fitness and health, the reality is that they’re constantly at risk of suffering serious, sometimes life-threatening injuries.

CMC-Pineville has implemented a program that provides athletic trainers and comprehensive health screenings to student athletes free of charge. Schools in Mecklenburg County have benefited from a similar program for the past two years, and this past fall the program was extended to Fort Mill High School and Nation Ford High School in Fort Mill, SC.

rEducIng SportS-rElAtEd InjurIESThe program’s goal is to improve the health and

well-being of student athletes while reducing the fre-quency and severity of sports-related injuries through prevention and treatment activities. CMC-Pineville also provides educational workshops and symposiums for the community, aimed at raising awareness of the health issues that can affect young athletes.

Brian Pope, MD, of Shiland Family Medicine-Fort Mill is medical director of the Fort Mill schools’ athletic trainer program. “Until this past fall, trainers were provided by the school system,” says Dr. Pope. “They also served as teachers, so their duties were split and they couldn’t treat athletes during the school day. Now, we have full-time trainers who are available during games and throughout the week for practices.”

FrEE HEAltH ScrEEnIngSOne of the program’s signature events is “Heart of

a Champion Day.” This past spring, medical volunteers from CMC-Pineville and affiliated practices came together at CMC-Fort Mill Medical Plaza to provide free health screenings for our community’s high school athletes. These screenings are specifically designed to evaluate medical risk in students who may otherwise appear to be in perfect health. Physicians in several clinical specialties, including orthopaedics, cardiology and primary care, perform screenings. Cardiac testing includes electrocardiograms, which are key to identifying potential heart defects. In a time when cardiac-related deaths among young athletes are occurring in alarming numbers, such screenings provide extra peace of mind for students and their families.

cruSAdIng For SAFEty: Brian Pope, mD, is working to

make sure fort mill student athletes have fewer injuries.

KEEpIng KIdS HEAltHyscan this Qr code to watch an interview with Dr. Pope about the York County heart of a Champion event.


F or Robert Davis, weight-loss success has been measured, in part, by all of the “nots.” Not being too big to sit comfortably in a stadium seat to

watch a football game. Not constantly saying to himself, “I’m the biggest person in the room.”

At 410 pounds, Robert often was the “biggest person in the room”—and certainly not the healthiest. The 36-year-old resident of Rock Hill, SC, had a

personal history of heart disease and a family history that painted a bleak picture. “I knew it was a matter of when, not if I would have bigger health issues. I was afraid I wouldn’t make it to my 50th birthday,” he says.

Robert was hospitalized at Carolinas Medical Center in the past for chest pain. He had high cholesterol, joint and back pain and obstructive sleep apnea.

As a last resort, he investigated weight-loss (bariatric) surgery, which eventually led him to Carolinas Weight Management and the decision to undergo gastric bypass surgery. “I wanted my life back,” he says.

NO MAGIc BuLLet“There’s nothing easy about weight-loss surgery,”

Robert says. “It’s just one tool to help you lose weight. You still have to eat right, exercise and be committed to these changes for life.”

“Carolinas Weight Management offers nonsurgical and surgical options to help people achieve their weight-loss goals,” says Timothy Kuwada, MD, FACS, the bariatric surgeon who performed Robert’s procedure. “No mat-ter which you choose, you can expect a multi disciplinary

approach incorporating physicians, dietitians, psychol-ogists and exercise specialists to ensure safe weight

loss and effective weight-loss maintenance,” Patients who choose a nonsurgical regimen

see a medical team member about once every four weeks to provide support with diet and exercise. They can also attend a support group

meeting or talk with a psychologist about issues affecting their weight loss.Those seeking surgery can discuss with their phy-

sician several options, including:Gastric banding. An adjustable band is placed around

the stomach, forming a smaller pouch for food to enter and resulting in a quicker sense of “fullness.”

Gastric bypass. This option permanently retools the digestive system by closing off a large portion of the stomach and creating a smaller pouch at the top, making you feel fuller faster. Because a part of the small intestine is bypassed, fewer calories are absorbed.

Making it personalWeight-loss options that suit your needs

DID YOU knOW?carolinas Weight Management is a part of the American college of Surgeons Bariatric Surgery center Network Accreditation Program. This means the program has undergone an independent, voluntary and rigorous peer review evaluation in accordance with nationally recognized bariatric surgical standards.

Other accreditations include designations as an Aetna Institute of Quality Bariatric Surgery Facility; a center of Excellence for Bariatric Surgery by Blue cross and Blue Shield of North carolina; and a Blue Distinction center by Blue cross and Blue Shield.


Sleeve gastrectomy. This procedure removes the part of the stomach that stores food, leaving the stomach in a smaller tube shape that helps you feel fuller faster.

Typically, men who are at least 100 pounds over-weight or women who have at least 80 pounds to lose are candidates for surgery. (If you’re not quite that over-weight but suffer from obesity-related health problems, you may also be a candidate.)

“Understand the pros and cons and find a procedure that’s consistent with your weight-loss goals,” says Dr. Kuwada.

“Surgical candidates meet with a psychologist to make sure they don’t have any emotional issues that often sabotage weight-loss efforts,” he says. Those approved for surgery also meet with a nutritionist. Follow-up with the bariatric surgeon is lifelong.

“Surgery can significantly improve patients’ health and eliminate conditions such as diabetes, high cholesterol and sleep apnea—or head them off before they develop,” adds Dr. Kuwada.

A LIFe recLAIMeDLife after surgery is medication- and pain-free for

Robert. He eats right and looks at food for what it is, he says—a necessity, not a want. He also works out regularly with a personal trainer and does 15 to 20 miles of cardio-vascular exercise a week. “He’s a poster child for bariatric surgery,” Dr. Kuwada says.

So far, Robert has shed 190 pounds and wants to lose about 20 more. “I wouldn’t have been able to do this without Carolinas Weight Management,” he says. “I can’t say enough about the support I received there.”

Impressed with the program, Robert’s wife, Tianne, also underwent gastric bypass surgery with Dr. Kuwada. The couple had infertility issues because of Tianne’s weight. Now, after 15 years of marriage, they’ll try for their first child.

“I’m not going to be the dad who can’t walk his daughter down the aisle or won’t see his son graduate from high school,” Robert says. “I got my life back.”

LIvE ThE LIfE YOU WanT!contact our team at 704-355-9484 or visit www.carolinasweightmanagement.org to learn more about bariatric surgery and nonsurgical weight-loss programs. What are you weighting for?Board-certified, fellowship-trained surgeons: Keith S. Gersin, MD, FAcS Timothy Kuwada, MD, FAcS Dimitrios Stefanidis, MD, PhD Board-certified bariatricians: John B. cleek, MD John Tomcho, DO, RD

❝ I was afraid I wouldn't make it to my 50th birthday. ❞

—Robert Davis

BEfOrE

afTEr

“Surgical candidates meet with a psychologist to make sure they don’t have any emotional issues that often sabotage weight-loss efforts,” he says. Those approved for surgery also meet with a nutritionist.

Life after surgery is medication- and pain-free for


S ara takes nearly an hour to get dressed each morning, trying on one outfit after another only to toss them all in a corner claiming they make

her look fat. Shopping for clothes is a nightmare, and she frequently skips lunch in an effort to shed pounds.

Sara is 13 years old, and her doctor says her weight is perfectly healthy. What’s not healthy about Sara is her body image—the way she sees herself—and how it affects her sense of self-worth.

the PItFALLS OF PuBertYMany teens struggle with their body image as they

begin puberty. As girls develop fuller hips and breasts, they may feel self-conscious and fat. As boys become gangly, they may try steroids or hormones to help their muscles catch up to the rest of their body. Teens with poor body images are more likely to try risky supple-ments and fad diets, develop eating disorders, exercise compulsively or turn to alcohol and drugs.

The messages kids get from the media are part of the problem. Your teenager’s ideal may be an

Help your teen build a better body image

impossible-to-achieve illusion of computer tricks and chemical and surgical enhancements.

hOW YOu cAN heLPWhat’s a parent to do? Encourage your teen to look

at his or her accomplishments, not physical appearance, for a sense of self-worth, and try these strategies: Be media savvy. Explain how most media are created to sell, persuade or manipulate and teach how to view them critically. Discuss whether that waif model is really healthy. Focus on health. Help your teen set goals of being strong, fit and vital. Plan healthy, nutritious family meals and encourage more physical activity. Take up a sport or join a gym together. Watch your words. Lamenting your own image in the mirror or gushing about how slim a friend looks reinforces the idea that a person’s worth is defined by his or her body. talk with your teen’s doctor. Seek additional help if your teen becomes obsessed about his or her body type or low self-esteem causes avoidance of social situations.

NeeD A PhYSIcIAN? our experts will help you find your medical home. Call CmC Connect at 704-355-7500 or 800-821-1535.

COMInG TO a hIGh SChOOL nEar YOUOver the next five years, certified athletic trainers will be working in all charlotte-Mecklenburg high schools, thanks to a partnership with carolinas Healthcare System (cHS). cHS-employed athletic

trainers are nationally certified and state licensed, directing efforts to protect the health and safety of all student athletes. This initiative is in response to a growing national concern about an increase in the number of student-athlete injuries, especially concussions and sudden cardiac deaths.


Mark your calendar Summer 2011

To view a complete list of up coming events and classes, visit www.carolinasmedicalcenter.org for more information.

ActIVe WOMeNWant the best discounts and 24/7 access to a nurse for free? Join Active Women!

When you join Active Women, you can take advantage of an extensive list of discounts at local restaurants, hotels and retail shops. Members also receive advance registration for special events and free 24-hour access to a registered nurse by phone. Women ages 21 and older can join and membership is free. Sign up at www.carolinasmedicalcenter.org/active.

AreA BLOOD DrIVeSYour donation of live-saving blood can help as many as three local lives! WheN: Ongoing Where: Area cMc hospitals or

Wells Fargo Atrium, Aug. 16 and Oct. 18, 10 a.m.–2:30 p.m.

cALL: 704-972-4700 or visit www.cbcc.us to confirm locations, dates and times. Walk-ins are always welcome.

WheN: Sept. 24, 10 a.m.–2 p.m. For locations and more information, visit www.levinechildrenshospital.org/operationmedicinedrop.

StePPING FOrWArD: A cANcer WeLLNeSS PrOGrAMA 10-week wellness program for cancer survivors who have finished treatment, are near the end of treatment or are on maintenance treatment. WheN: Tuesdays and Thursdays,

Sept. 13–Nov. 15, 6:30–7:30 p.m. Where: West cabarrus YMcA,

5325 Langford Ave., concord cALL: Susan Yaguda, RN, MSN,

at 704-403-3050 to learn more and for referral information.

LIVING heALthYThis six-week workshop teaches you the tools and skills to better manage chronic conditions. WheN: Wednesdays beginning

Sept. 21, 9–11:30 a.m. Where: West cabarrus YMcA,

Sullivan Room, 5325 Langford Ave., concord

cALL: Susan Yaguda, RN, MSN, at 704-403-3050 for moreinformation and to register.

chOLeSterOL AND BLOOD GLucOSe ScreeNINGS

WheN: Weekly Where: charlotte-Area YMcAs cOSt: $25 for cholesterol

screening, $30 for cholesterol and blood glucose tests. cash or checks accepted.

cALL: 704-716-4090 or 704-716-6467 or e-mail [email protected].

MAtter OF BALANceThis award-winning program focuses on reducing the fear of falling and increasing the activity levels of older adults who are concerned about falling. WheN: Tuesdays and Thursdays

for four weeks, beginning Tuesday, Sept. 6, 9–11 a.m.

Where: West cabarrus YMcA, 5325 Langford Ave., concord

cALL: Susan Yaguda, RN, MSN, at 704-403-3050 for more information and to register. class size is limited and registration is required.

OPerAtION MeDIcINe DrOPBring your unused and expired medications for proper disposal.

J oin Sanger Heart & Vascular Institute physicians in Freedom Park for a new program called Just Walk with a Doc. It's a great way to get together with old friends—and make some new ones—while pumping up your cardiovascular

health. Walks are held on the third Saturday of every month, and participants meet at 9 a.m., on the northwest side of the Duck Pond near the Amphitheater.

For monthly walk dates and more information, visit www.sangerheart.org/walk. Check out the Carolinas HealthCare System Facebook fan page for weather updates.

take a stroll with us!

Carolinas Health Magazinec/o CHS MarketingPO Box 32861Charlotte, NC 28232-2861

Carolinas HealthCarolinas Health is published for residents of Lancaster, Mecklenburg and York Counties as a community service of Carolinas Medical Center-Pineville. There is no fee to subscribe.

The information contained in this publication is not intended as a substitute for professional medical advice. If you have medical concerns, please consult your healthcare provider.

If you wish to have your name removed from the list to receive marketing materials for Carolinas HealthCare System programs and facilities in the future, please write us at: Chief Privacy Officer, PO Box 32861, Charlotte, NC 28232.

Copyright © 2011 Carolinas HealthCare System

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